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AACN CSC EXAM COURSE SESSION 1 TO 4 EXAM
TEST BANK ALL WITH 450 QUESTIONS AND
CORRECT DETAILED SOLUTIONS JUST RELEASED
QUESTION: The wife of a patient recently admitted because of a single vehicle crash tells the
nurse "I'm afraid he was trying to kill himself." A priority for the nurse would be to:
A. Identify if the patient has a history of depression
B. Ask the patient directly about suicidal intent with the wife in the room
C. Obtain an order for a psych consult
D. Ensure the suicide assessment is completed in the electronic health record - ANSWER✔✔D.
Ensure the suicide assessment is completed in the electronic health record
This screen/ assessment tool guides the health care team in determining a treatment plan
QUESTION: Which of the following actions by the nurse might decrease a patient's self-esteem?
A. Discussing the negative consequences of the patient's condition
B. Requiring the patient to participate in all treatments
C. Providing opportunities to discuss issues important to the patient
D. Indicating his or her acceptance of the patient's condition - ANSWER✔✔B. Requiring the
patient to participate in all treatments
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The 2 key words being requiring and all. We can't require an adult to do anything. When we
start thinking we can, we are behaving paternalistically.
QUESTION: A 22 year old patient has been declared brain dead. The parents decide to
discontinue feeding and donate their child's organs. In response to the parents' request, the
most appropriate action by the nurse would be to:
A. Contact the organ procurement agency
B. Convene a multidisciplinary care conference
C. Tell the parents that the condition precludes organ donation
D. Discontinue the feeding per their request - ANSWER✔✔A. Contact the organ procurement
agency
We collaborate with this agency to be the primary communicator with potential donor families
QUESTION: A patient in the ICU is confused about time and place, despite frequent
reorientation. For the patient's safety, the nurse would initially:
A. Put a vest restraint on the patient
B. Ask the family member to stay with the patient
C. Administer a mild sedative
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D. Increase the frequency of observation of the patient - ANSWER✔✔D. Increase the frequency
of observation of the patient
The confusion doesn't appear to be a safety issue, so frequent monitoring is the best plan
QUESTION: Six members of a trauma patient's family arrive at the ICU asking questions about
their loved one's condition. The nurse's most appropriate initial response would be to:
A. Ensure that the Chaplin is available
B. Include the family in patient care
C. Offer the family a tour of the ICU
D. Identify a family spokesperson - ANSWER✔✔D. Identify a family spokesperson
One of the most important needs of families is accurate and regular information
QUESTION: A patient has been waiting in the ICU for 2 months for a heart transplant. A family
member angrily tells the nurse, "this is hopeless!" The nurse's actions should be based on the
knowledge that:
A. Expressions of frustration are normal and usually require no nursing intervention
B. Since expressions of hopelessness may be harmful to the patient, the family member should
be encouraged to keep those statements out of the patient care area
C. The integrity of the family system is crucial in the transplant process
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D. Encouraging discussion of negative emotions can impede their resolution - ANSWER✔✔C.
The integrity of the family system is crucial in the transplant process
Expressions of frustration need to be discussed and the family unit is the "patient"
QUESTION: A patient is admitted in DKA. Since admission, the patient's glucose levels have
been in the 400-400 range, and regular insulin has been administered on a sliding scale. Given
these findings, the most appropriate nursing intervention is to:
A. Consult with the physician about changing the regimen to regular insulin via continuous drip
B. Arrange for nutritional consult to enhance adherence to an ADA diet
C. Consult with the physician about increasing the maximum dose age of regular insulin on the
sliding scale
D. Request an evaluation by a diabetic educator - ANSWER✔✔A. Consult with the physician
about changing the regimen to regular insulin via continuous drip
The nurse would collaborate with the provider to ensure best practice is being used
QUESTION: The charge nurse is having trouble finding nurses who will accept responsibility for
the "difficult" patient and family who have been on the unit for 2 months. Once the assignment
is determined for the next shift, the next action of the nurse might be to:
A. Hold a family meeting and demand that their behavior change at once
AACN CSC EXAM COURSE SESSION 1 TO 4 EXAM
TEST BANK ALL WITH 450 QUESTIONS AND
CORRECT DETAILED SOLUTIONS JUST RELEASED
QUESTION: The wife of a patient recently admitted because of a single vehicle crash tells the
nurse "I'm afraid he was trying to kill himself." A priority for the nurse would be to:
A. Identify if the patient has a history of depression
B. Ask the patient directly about suicidal intent with the wife in the room
C. Obtain an order for a psych consult
D. Ensure the suicide assessment is completed in the electronic health record - ANSWER✔✔D.
Ensure the suicide assessment is completed in the electronic health record
This screen/ assessment tool guides the health care team in determining a treatment plan
QUESTION: Which of the following actions by the nurse might decrease a patient's self-esteem?
A. Discussing the negative consequences of the patient's condition
B. Requiring the patient to participate in all treatments
C. Providing opportunities to discuss issues important to the patient
D. Indicating his or her acceptance of the patient's condition - ANSWER✔✔B. Requiring the
patient to participate in all treatments
, Page 2 of 228
The 2 key words being requiring and all. We can't require an adult to do anything. When we
start thinking we can, we are behaving paternalistically.
QUESTION: A 22 year old patient has been declared brain dead. The parents decide to
discontinue feeding and donate their child's organs. In response to the parents' request, the
most appropriate action by the nurse would be to:
A. Contact the organ procurement agency
B. Convene a multidisciplinary care conference
C. Tell the parents that the condition precludes organ donation
D. Discontinue the feeding per their request - ANSWER✔✔A. Contact the organ procurement
agency
We collaborate with this agency to be the primary communicator with potential donor families
QUESTION: A patient in the ICU is confused about time and place, despite frequent
reorientation. For the patient's safety, the nurse would initially:
A. Put a vest restraint on the patient
B. Ask the family member to stay with the patient
C. Administer a mild sedative
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D. Increase the frequency of observation of the patient - ANSWER✔✔D. Increase the frequency
of observation of the patient
The confusion doesn't appear to be a safety issue, so frequent monitoring is the best plan
QUESTION: Six members of a trauma patient's family arrive at the ICU asking questions about
their loved one's condition. The nurse's most appropriate initial response would be to:
A. Ensure that the Chaplin is available
B. Include the family in patient care
C. Offer the family a tour of the ICU
D. Identify a family spokesperson - ANSWER✔✔D. Identify a family spokesperson
One of the most important needs of families is accurate and regular information
QUESTION: A patient has been waiting in the ICU for 2 months for a heart transplant. A family
member angrily tells the nurse, "this is hopeless!" The nurse's actions should be based on the
knowledge that:
A. Expressions of frustration are normal and usually require no nursing intervention
B. Since expressions of hopelessness may be harmful to the patient, the family member should
be encouraged to keep those statements out of the patient care area
C. The integrity of the family system is crucial in the transplant process
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D. Encouraging discussion of negative emotions can impede their resolution - ANSWER✔✔C.
The integrity of the family system is crucial in the transplant process
Expressions of frustration need to be discussed and the family unit is the "patient"
QUESTION: A patient is admitted in DKA. Since admission, the patient's glucose levels have
been in the 400-400 range, and regular insulin has been administered on a sliding scale. Given
these findings, the most appropriate nursing intervention is to:
A. Consult with the physician about changing the regimen to regular insulin via continuous drip
B. Arrange for nutritional consult to enhance adherence to an ADA diet
C. Consult with the physician about increasing the maximum dose age of regular insulin on the
sliding scale
D. Request an evaluation by a diabetic educator - ANSWER✔✔A. Consult with the physician
about changing the regimen to regular insulin via continuous drip
The nurse would collaborate with the provider to ensure best practice is being used
QUESTION: The charge nurse is having trouble finding nurses who will accept responsibility for
the "difficult" patient and family who have been on the unit for 2 months. Once the assignment
is determined for the next shift, the next action of the nurse might be to:
A. Hold a family meeting and demand that their behavior change at once
